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VSJF Business Management Coaching Initial Contact Form

Let Us Help You and Your Business

If you are an entrepreneur that owns a business with $250,000+ gross revenue and in operation for 3+ years, and you are interested in working with the Vermont Sustainable Jobs Fund’s Business Coaching program, please fill out the questionnaire below. The information being collected will be used as your first point of contact with us so that we may know a little about you and your business before an initial call or meeting. It will help us better serve your needs. Please note that information provided in this form will not be shared with anyone outside our organization.

Please note that at this time we do not have capacity to work with start-up businesses and businesses with less than $250,000 of gross income. Through the Small Business Administration’s Community Navigator Pilot Program, which uses a “hub and spoke” model, with VtSBDC as the hub, and nine partner organizations as spokes, there may be another organization that can assist you in your journey: https://www.vtsbdc.org/community-navigator-pilot-program-cnpp/.
1.Contact Information(Required.)
2.Business Information(Required.)
3.Website Address
4.Type of Business (check all that apply):(Required.)
5.In a couple of sentences, tell me about your business:(Required.)
6.We Need Assistance With (check all that apply):(Required.)
7.Which type of coaching service are you most interested in (check all that apply):(Required.)
8.Business Location: (Required.)
9.Has Your Business Been in Operation for 3+ Years?(Required.)
10.Year Business Started:(Required.)
11.Legal Entity:(Required.)
12.Total Number of Employees:(Required.)
13.Gross revenue for most recent business year:(Required.)
14.How did you hear about our program? (check all that apply)(Required.)
Business Owner Demographics - We are asking about your ownership demographics to help better serve you and access various funding sources. These questions are optional.
15.Gender Identity (optional):
16.Race and Ethnicity (optional):
17.Identity (optional):
18.Do you consider yourself a person with a disability (optional):
19.Military Service (optional):
20.In what language do you conduct your business?
21.In what language are you requesting assistance in?
22.Is there anything additional that you'd like us to know about you or your business?
Current Progress,
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